HomeMy Public PortalAbout4847 CLOVERLY AVE_Building__ COUNTY OF LOS ANGELFS TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1309160085
PHONE (626) 285-0488 EXT
ILEGAL ID I NO OF CONST I BUILDING ADDRESS I
ITR 11454 LT 6 1 SQ FT STORIES TYPE 1 4847 CLOVERLY AV
I ISTRUCTURE V-B I TEMP CA 917803809 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18590-021-026 1 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY CAI
I I I
ITENANT IEXIST BLDG USE RESID USE ZONE R-1 IISSUDD ON PROCESSED BY I
IEXIST OCC GRP 109/16/13 SR I
I I I I
IOWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINA'. DATE FIW BY CODE I
IDENG, ALBERT (626) 807-7372- 1 2 000
14847 CLOVERLY AV I7 '1
ITEMP 917803809 I FEES PAID ID RIPTION OF WORK I
I I
18 WINDOWS REPLACEMENT RETRO FIT AND DROP WINDOW SILL TO 44 I
IFEE DESCRIPTION QUANTITY UOM AMOUNT IINCHS @ REAR BEDROOM I
(APPLICANT TEL NO I I 1
ISAME AS OWNER - 'AA BLDG PERMIT ISSUANCE 27 80 1 1
I ;AB STATE GREEN BLDG FEE 2000 00 VAL 1 00 ISPECIAL CONDITIONS I_
1 AC STRONG MOTION RESID 2000 00 VAL 0 50 I 1
I SAX BUILDING REVIEW FEE 54 70 I 1
_'D2 PERMIT W/O EN-HC 2000 00 VAL 82 20 I__
ICONTRACTOR TEL NO TOTAL FEES 166 20 (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - ii
LIC NO ILOCATION AND SETBACKS I I 1
ISOILS,ENGINEER APPROVAL I II
i I1 1 I
(ARCHITECT OR ENGINEER TEL NO I IFOUND4TION/TRENCH FORMS I I I
I - I 1
I LIC NO I ISLAB/JNDER FLOOR I I 1
I i IRAISLD FLOOR FRAMING I I I
I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDEPFLOOR INSULATION I I I
I 3 001 I 111 I
1 ( IFLOOR SHEATHING I I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I i I I I
I NO 21 IROOF SHEATHING I I I
I I 1 1-1 I
I SCHOOL WITHIN HAZARDOUS I ISHEPP PANELS I I
(AIR QUALITY 1000 FEET MATERIALS I I I I 1
I NO NO NO (FRAME INSPECTION I I 1
I I I I
IFIRE SPRINKLER HANGERS I 1 I
I I I I I I
I _ (INSULATION/WEATHER STRIPI I I
I IINTEPIOR LATH/DRYWALL
I I t I 1 I
I I IEXTER OR LATH I I 1
I I I I I
I IRATED FLOOR/CEIL ASSEM I I I
I 1 I I I I
i IRATED WALL ASSEMBLIES
I I �
1 IRATED SHAFTS/OPENINGS I I
I I I I I I
I IT-BAP CEILINGS 1
I I I I
I I ILOT DRAINAGE
1 IREPORT ID DPR261 ROUTE TO BSO508
�' I I I I I
!� APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES '
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY (ijT ZIP BUILDING AND SAFETY DIVISION
NO OF BLDGS
SIZEOFLOT `� NOW ON LOT !r ADIDRESS O LDING 7- /V , c.—Lou
TRACT 1�� BLOCK LOT NOS p(�/ p LOCALITY �� C, /rx
NEAREST
OWNER" CROSS ST GerVA-i C5k ZJs'/¢
ASSESSOR 14
ADDRESS MAP BOOK IPAGE PA
DISTRICT GROUP TYPEFIRE PROCESSED BY
CITY �ij ZIP �O � .� CONST �T ZONE
ARCHITECT OR /cam / TEL p�r I— �1�' J
ENGINEER ✓ d /1!� NOdQ/ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS O/S �J CLASS NO �/ DWELL UNITS BK(DZG c
TEL
CONTRACTORNO USE ZONE MAP
ADDRESS NO ", _ SPECIAL
- LIC - - CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO
CONSTRUCTION LENDER w
NAME AND BRANCH BLDG SETBACK FROM
FRONTPROP LINEOF (STREET)
ADDRESS CITY TOTAL SETBACK FROM' TYPE OF EXISTING
SQ FT NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
SIZE «- STORIES FAMILIES / ONE- , }
DESCRIPTION OF WORK' NEW ❑ + Q
�_y'"' ADD BLDG SETBACK FROM cx
SIDE PROP LINE OF _ (STREET( O
ALTER 01 TOTAL S ACK FROM TYPE OF EXISTING w
USE OF^ p/ REPAIR ❑ HIGHWAY + YARD = SIDE PR LINE HIGHWAY WIDTH Z
EXISTING BLDG �C Gd� C� DEMOL ❑ + `
APPLICANT TEL CORNER CUTOFF YES NO
(PRINT) NO
IN OPEN SPACE YES NO
BY(SIGNATURE)QIN COASTAL PERMIT ZONE YES NO
VALUATION .p /�Q � _ �7 �-t _
I HEREBY ACKNO LEDGE THAT I HAVE READ THIS APPLICAJNANT
STATE �~ �OLS'J �CT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH NCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THG THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON N OF
THE LABOR CODE OF THE STATE OF CALIFOR N TING TO WCOM
PENSATION INSURANCE^ ` IO /✓O 7-
SIGNATURE OF +PERMITTEADDREFINAL BY
CITY i;, TELNO DATE . Z X77MAKE ELKS PAYABLEE IFEE PC $ FEET �HARVEYT B ANDT COUNTY ENGI /
c-
PLAN CHECK VALIDATION CK M C CASH _ PERMIT VALID //'ION CK o CASH
1®s 76A638A CE#803 3 75 - 4-7 66T 2 9 1, 0 ` 109.5 O �t�,C
APPLICATION FOR COUNTY OF LOS ANGELES
U I L D I N G PERMIT D BUIILDM�T OF COUNTY ER
AND SAFETY DIVISION
BU LOING
FOR APPLICANT TO FILL IN ADDRESS /O / /®Z/P�' V
BUILQING
ADDRESS M17 (7k LOCALITY Ao /
NEAREST
CITY T ZIP CROSS ST `_ /�
��X / J , NOWON2- MAP BOOK : G70& PAGE e-
SSOR
SIZE OF LOT PARCEL
l (� DISTRICT IGROUPITYPE FIRE CESSED BY
TRACT // J S BLOCK LO LNJO Co e ^� CONST�� ZINE t
OWNER fI/�J NOG - STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO DWELL UNITS
P
ICS BIfI�/Z..Pf
/4 ` ZIP / '8 USE ZONE NO
CITY fV (/J
ARCHITECT OR TEL SPECIAL
ENGINEER NO CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
TEL BLDG SETBACK FROM
CONTRALTO
I NO 2865' FRONTP OP LINEOF (STREET)
ADDR E�SSy 7V 3 �11NA5 NO HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
CITY /Pyn I e LIC FRONT PROP LINE HIGHWAY WIDTH
J C LASS _
CONSTRUCT(ON LENDER }
NAME AND BRANCH
BLDG kEETBACKFROM
a
ADDRESS CITY SIDEPTs
P LINEOF (STREET) CD
SQ FT NO OF NO OF CHECK HIGHWAY } _ TOTAL SETBACK FROM TYPE OF 1
EXISTING
SIZE STORIES FAMILIES ONE LINE HIGHWAY WIDTH CDCD
LLJ
DESCRIPTION OF WORKll
NEW } 0-
/ Cn
A/low G ADD ❑ CORNER CUTOFF YES ❑ NO Z
ALTER [:1 Mo
EPAIR❑ IN OPEN SPACE YES El NO E]
USE OF IN COASTAL PERMIT ZONE YES ❑ _ NO ❑
EXISTING BLDG OEMOL ❑
APPLICANT TEL
(PRINT) NO .510 ts
BY (SIGNATURE) C1.42 'yl,?- O To 456yE—: 2 '�
N.'
HE BY A OW LE DGE THAT I HAVE READ MIS APPLICATION vi
ANO 5 TE T THE ABOVE IS CORRECT AND A REE TO COMPLY VVVV
WIT4*4
H AL ORDINANCES AND LAWS REGULATIN BUILDING CON- /2
STRUCTION I CERTIFY THAT IN D ING TM ORK AUTHORIZED Y?/�
HEREBY I WILL NOT EMPLOY ANY ERSON IN VIOLATION OF THE
LABOR CODE OF THE TATE 0 CALIFORNIA IN RELATING TO
WORKMEN'S CO MPE NS ON I ANCE
SIGNATURE OF v/7� FINAL /� /_/1 X77 BY
PERMITT DATE
ADDRES Z/
/ ( �� NO
310
CITY
PC Fee$ Permit Fee
Issuance Fee
VALUATION
Total Fee
Isk
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION M o CASH
49sC"' 29 1 0 28.50A-a
eA838A CE*803B IZ/73 T